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WISE WOMAN WELLNESS LLC
NPI 1033447594
Nurse Practitioner - Women's Health in De Pere, WI

Active since November 20, 2009
1480 SWAN RD, DE PERE, WI 54115(920) 339-5252(920) 632-7652 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wise Woman Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISE WOMAN WELLNESS LLC (NPI 1033447594) is a healthcare organization registered as a women's health in De Pere, Wisconsin and active in the NPI registry since November 2009. The organization lists Randi Mary Mann, Owner, as its authorized official.

NPPES Registry Identity

NPI1033447594
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameWISE WOMAN WELLNESS LLC
Location Address1480 SWAN RDDe Pere, WI 54115-7966
Mailing Address1480 Swan RdDe Pere, WI 54115-7966 · (920) 339-5252 · Fax (920) 632-7652
Phone(920) 339-5252
Fax(920) 632-7652
Organization SubpartNo
Authorized OfficialRandi Mary MannOwner · (920) 339-5252
Enumeration DateNovember 20, 2009
✔ NPI 1033447594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WI · 115-030
1480 SWAN RD, De Pere, WI 54115
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Other Identifiers 2

Medicare PINS95058
Other1427016609WI · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wise Woman Wellness LLC's NPI number?

The NPI number for Wise Woman Wellness LLC is 1033447594. It was assigned to this organization in the NPPES registry on November 20, 2009.

Where is Wise Woman Wellness LLC located?

Wise Woman Wellness LLC is located at 1480 Swan Rd, De Pere, WI 54115. The listed phone number is (920) 339-5252.

What is Wise Woman Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Wise Woman Wellness LLC was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.